Active NPI
William G Rasberry, NP
- Nurse Practitioner
- Ruston, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP05938
- Practice address
- 1200 S Farmerville St
Ruston, LA 71270-5941 - Phone
- (318) 251-6216
- Fax
- (318) 251-6257
- NPI assigned
- Oct 5, 2009
- Last updated
- Oct 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP05938 | LA | Primary |
Addresses
Primary practice location
1200 S Farmerville St
Ruston, LA 71270-5941
Mailing address
1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 251-6216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4396 Hwy 80
Ruston, LA 71270-8948
Phone (318) 237-0785
5505 Shreveport Hwy
Pineville, LA 71360-3533
Phone (337) 381-0956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Professionals LLC | Current | Accepting new patients |
Locations
501 W Saint Mary Blvd
Ste 308
Lafayette, LA 70506
Phone (318) 983-0010
5505 Shreveport Hwy
Pineville, LA 71360
Phone (318) 441-5900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Lafayette, LA
- NPI 1497313670
-
- Family Medicine Physician
- Ruston, LA
- NPI 1972146132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1891020129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S FARMERVILLE ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"telephone_number": "318-251-6216",
"fax_number": "318-251-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S FARMERVILLE ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"telephone_number": "318-251-6216",
"fax_number": "318-251-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASBERRY",
"first_name": "WILLIAM",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-05",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP05938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
- Charles Brandon Ramsey, L.P.C.
- Jacqueline Ramsey, MA, LAC-CCS
- Stephen Luke Ramsey, PT, DPT
- Valerie Ramsey, PHD, LPC
- Tika Ranjitkar, M.D.
- Ray of Light Counseling Service LLC
- Razz Addiction and Recovery, LLC
- Elise Hester Reed, LCSW
- Kristin Sherrill Reeves, APRN, FNP-C
- Reflected Grace, LLC (Reflected Grace)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.